Individual
DR. VIRUPAKSHA KOTHANDAPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3263 DEMETROPOLIS RD, SUITE NO 7, MOBILE, AL 36693-3304
(251) 666-7765
(251) 666-6514
Mailing address
5757 CHESTER COURT, MOBILE, AL 36609-4638
(251) 344-1902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51070396
B CROSS B SHIELD
AL
Enumeration date
03/08/2007
Last updated
07/08/2007
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